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HomeMy WebLinkAbout328647 08/09/18 �����`"��• CITY OF CARMEL, INDIANA VENDOR: 359584 ONE CIVIC SQUARE BRENNTAG MID SOUTH INC CHECK AMOUNT: $*****5,609.50* �� CARMEL, INDIANA 46032 3796 RELIABLE PARKWAY .CHECK NUMBER: 328647 9''?�briior, CHICAGO IL 60686 CHECK DATE: 08/09/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 040009 469.70 OTHER EXPENSES 601 5023990 040010 961.50 OTHER EXPENSES 601 5023990 040011 385.40 OTHER EXPENSES 601 5023990 040012 3,792.90 OTHER EXPENSES VOUCHER NO. 182225 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor# 359584 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER BRENNTAG MID-SOUTH INC CITY OF CARMEL 3796 RELIABLE PARKWAY An invoice or bill to be properly itemized must show: kind of service,where performed, CHICAGO, IL 60686-0037 dates service rendered, by whom, rates per day, number of hours, rate per hour, numbers of units, price per unit,etc. Payee $5,609.50 359584 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR BRENNTAG MID-SOUTH INC Terms Carmel Water UtIIlt1/ 3796 RELIABLE PARKWAY Due Date BOARD MEMBERS I hereby certify that that attached invoice(s), CHICAGO, IL 60686-0037 PO# ACCT# or bill(s)is(are)true and correct and that the materials or services itemized thereon for DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 040009 01-6180-03 $469.70 and received except 7/25/2018 040009 $469.70 040010 01-6180-03 $961.50 7/25/2018 040010 $961.50 040011 01-6180-03 $385.40 7/25/2018 040011 $385.40 040012 01-6180-03 $3,792.90 7/25/2018 040012 $3,792.90 I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_ Clerk-Treasurer BRENNTAG tkENNTAG MID-SOUTH, INC. :1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS040012 INV DATE: 7/17/18 * PAGE 1 OF 1 ** DUE DATE: 8/16/18 SOLD TO: SHIP TO: CITY OF CARMEL UTILITIES CARMEL UTILITIES PLT 1 3450 WEST 131ST STREET 4915 E 106 ST CARMEL IN 46074 CARMEL IN 46033 FEDERAL ID #: 610504545 DATE SHIPPED: 7/17/18 TERMS NET 30 DAYS B/L #. . . : 2184081-00 SHIP WHS: 29 SLSPRSN: 293 CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK BULK CUSTOMER PO#: AC070218 FOB . . : DELIVERED FREIGHT TERM: PREPAID TAX EX# : 356000972-001-9 PRO NUMBER . : 775895822 UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 10360.0000 437426 10.26000 10360.0000# . 3400 3,522.40 1 .0000 # BULK HYDROFLUOSILICIC ACID 23% >A BLK -------------------------------------------------------------------------------- QUESTIONS, CALL 317-898-8632 REMIT TO ADDRESS: BRENNTAG MID-SOUTH, INC 3796 RELIABLE PARKWAY * MERCHANDISE 3,522.40 * CHICAGO IL 60686-3007 * FUEL SURCHARGE 235.50 ************************************** INS & SEC SURCHARGE 35.00 ----------------- PAID ON OR PRIOR TO 8/16/18 INVOICE TOTAL USD 3,792.90 PAID AFTER 8/16/18 INVOICE TOTAL USD 3,868.76 Original Document BRENNTAG BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS040011 INV DATE: 7/17/18 PAGE 1 OF .1 DUE DATE: 8/16/18 SOLD TO: SHIP TO: CITY OF CARMEL UTILITIES CARMEL WATER, PLANT 5 3450 WEST 131ST STREET 5484 E. 126TH STREET CARMEL IN 46074 CARMEL IN 46032 FEDERAL ID #: 610504545 DATE SHIPPED: 7/17/18 TERMS NET 30 DAYS B/L #. . . . : 2195623-00 SHIP WHS: 29 SLSPRSN: 293 CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: AC071318 FOB . . : DELIVERED FREIGHT TERM: PREPAID TAX EX# : 356000972-001-9 PRO NUMBER . . UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 3.0000 873311 11 .87000 450.0000# .5620 252.90 150.0000 # CYL CHLORINE, LIQUID (BMS ONLY) >A RPK -------------------------------------------------------------------------------- QUESTIONS, CALL 317-898-8632 * REMIT TO ADDRESS: * BRENNTAG MID-SOUTH, INC 3796 RELIABLE PARKWAY * MERCHANDISE 252.90 CHICAGO IL 60686-3007 * FUEL SURCHARGE 97 .50 INS & SEC SURCHARGE 35.00 ----------------- PAID ON OR PRIOR TO 8/16/18 INVOICE TOTAL USD 385.40 PAID AFTER 8/16/18 INVOICE TOTAL USD 393 .11 Original Document BRENNTAG BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMSO40009 INV DATE: 7/17/18 * PAGE 1 OF -1 DUE DATE: 8/16/18 SOLD TO: SHIP TO: CARMEL WATER CARMEL WATER, PLANT 4 3450 WEST 131ST STREET 10675 N. GRAY ROAD CARMEL IN 46074 CARMEL IN 46032 FEDERAL ID #: 610504545 DATE SHIPPED: 7/17/18 TERMS NET 30 DAYS B/L #. . . : 2195586-00 SHIP WHS: 29 SLSPRSN: 293 CUSTOMER # . : 407542 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: AC071318 FOB . . : DELIVERED FREIGHT TERM: PREPAID TAX EX# : 356000972-001-9 PRO NUMBER . . UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED -------------------------------------------------------------------------------- 4.0000 873311 11 .87000 600.0000# .5620 337 .20 150.0000 # CYL CHLORINE, LIQUID (BMS ONLY) >A RPK -------------------------------------------------------------------------------- QUESTIONS, CALL 317-898-8632 REMIT TO ADDRESS: * BRENNTAG MID-SOUTH, INC 3796 RELIABLE PARKWAY * MERCHANDISE 337 .20 * CHICAGO IL 60686-3007 * FUEL SURCHARGE 97.50 INS & SEC SURCHARGE 35.00 ----------------- PAID ON OR PRIOR TO 8/16/18 INVOICE TOTAL USD 469.70 PAID AFTER 8/16/18 INVOICE TOTAL USD 479.09 Original Document BRENNTAG BRENNTAG MID-SOUTH, INC. 1405 HIGHWAY 136 WEST PO BOX 20 HENDERSON KY 42419-0020 INVOICE#: BMS040010 INV DATE: 7/17/18 * * PAGE 1 OF 1 * * DUE DATE: 8/16/18 SOLD TO: SHIP TO: CITY OF CARMEL UTILITIES CARMEL UTILITIES PLT 1 3450 WEST 131ST STREET 4915 E 106 ST CARMEL IN 46074 CARMEL IN 46033 FEDERAL ID #: 610504545 DATE SHIPPED: 7/17/18 TERMS NET 30 DAYS B/L #. . 2195579-00 SHIP WHS: 29 SLSPRSN: 293 CUSTOMER # - . : 407542 SHIP VIA: OUR TRUCK - PKG CUSTOMER PO#: AC071318 FOB . . : DELIVERED FREIGHT TERM: PREPAID TAX EX# : 356000972-001-9 PRO NUMBER . . UNITS SHIPPED PROD # WGT/GAL TOTAL QTY UNIT PRICE EXTENDED -------------------------------------------------------------------------- 1 .0000 253418 11 .87000 2000.0000# .4320 864.00 2000.0000 # CYL CHLORINE, LIQUID (BMS ONLY) >A RPK -------------------------------------------------------------------------------- QUESTIONS, CALL 317-898-8632 * REMIT TO ADDRESS: BRENNTAG MID-SOUTH, INC ^� 3796 RELIABLE PARKWAY * CHICAGO IL 60686-3007 MERCHANDISE 864.00 FUEL SURCHARGE 97 .50 ----------------- PAID ON OR PRIOR TO 8/16/18 INVOICE TOTAL USD 961 .50 PAID AFTER 8/16/18 INVOICE TOTAL USD 980.73 Original Document .l;s i.a. oT lbauing/5nipll+ent KeceIP•t Colo•tinUed from Previous Page Page 2 of 3 BRENNTAG MID-SOUTH PHONE e .31;7-898 -8632 p°4� ti =; { 7/03/18 14:48t46 311.1 N POST RD FAX: ' B R E N N T DEA REG NO. 006601BNY ,INPIANAPOLIS, IN 46226 ' BOLA . . » 2184081-00 Dely Date.)` 7,A -/'1.8, ' S#)ip CARMEL UTILITIES PL'r •1 Sold CITY OF CARMEL UTILITIES - customer-. 407542 Ship To: 11. Ship Date--_` 7/Q5/1.8 0 Sh-LP Tta 4.915 E 106 STTo: 3450 4dEST 131ST �fREET Attnw Frt terms» PREPAID Frt CARMEL, IN 46033 CARMEL, IN 46074 �r� ':fi0�3. . . : DELIVERED Taken By : BM29SLD SIS Ship Via: OUR TRUCK BULK Placed By: ANDY Recv Hrs: 7:30 Ate- 4:00 Pik Phone#. . : 317-571--2443 Phone: 317-5.71-2443 Ext: Phone: 317-571-2443 Ext: Terms. , : NET 3O DAYS Cust PO# » AC070218 QUANTITY QUANTITY PRODUCT CON PACKAGING HM DESCRIPTION M SHIPPED ORDERED BACKORDERED CODE DE IF LEAK OR SPILL OCCURS DURING TRANSPORTATION: F CCN3170 EMERGENCY CONTACT: CALL CHEMTREC TOLL- FREE AT 1-800-424-9300 24 HOURS f 7 DAYS X ON1778, �LUOROSILICIC ACID, a,PG TI ERG #: 154 HYDROFLUOROSILICIC ACID 23% � f 1.0000 T/T HYDROFLUOSILI('TC ACD 235% __ >A BLK _Ia2d pOQ 437426 TEAL#» � , _..:.................... .... Loc: TANK 2.5 p ty: 61.070 000.01 Lot #: ' t c�'19&r' 'L .......... .. ... ..... _. _..., _...........,.......... E Qty: '..... ..._ .......... Freight Class. . . . _. _ w..__.._... _..._....,. _ ,...�, 4eight Per Gallon: 1.0.26000 Net Weight: 1.0260.ObO .BULK T6 be comple e b�fo e unliaading: ___. . __ ____ ___ _...._ ____.._�,_..____.__nec o artmen Hase con to . to c 6" ecc alp t s)1Driver: ! � � I� ! B 1 Nose connected to Proper storage tank and quantity shipped will fit into custoller container. Customer- * Contiliued on Next Page This is to certify that the above named `at als are prope ly )'sified,_descri96d packaged,marked;and labeled,and are in proper _1 condition for transportation according t th a plicable re ulatio�ns�of the Department of Transportation. Loaded By: � Checked By� Signature of Shipper: _ 1 V�'6�'Ul Vehicle-: .�...{...�.. ......... Driver» PURCHASER'S ACCEPTANCE, THE GOO •COVERED BY THIS DOCUMENT SHALL CONSTITUTE ACCEPTANCE `,. Miles:,,,,,,,, Time In/Time Out ................�. BY THE PURCHASER OF ALL TERMS ANI)-CONDITIONS OF SALE STATED ON THE REVERSE SIDE HEREOF. O©d Pallets Dlvd _ Wood Pallets R tn: „ MOREOVER,PURCHASER,HEREBY ACKNOWLEDGES'RECEH'T OF ALL REQUIRED SDS(S). Plastic Pallets Dlvd Plastic Pallets Rtn» Received by:' Date: - f "1,Jq i 0USTOMER COPY Bill, of Lading/Shipment Receipt Conti'n'ued from Previous Page Page 2 of 3 ' BRENNTAG MID-SOUTH PHONE: 317-898-8632 7/16/18 18:18:08 6 R E N N T 3111- N POST RD FAX: _� DEA REG NO. 006601BNY INDIANAPOLIS, IN 46226 DOL# .: 219562300 Delv Date: 7/17/18 Ship CARMEL WATER, PLANT 5 Sold CITY OF CARMEL UTILITIES Customer: 407542 ' Ship To: 4 Ship Date: 7/17/18 0 Ship To: 5484 E. 126TH STREET To: 3450 WEST 131ST STREET Attn-- Frt Terms: PREPAID Frt CARMEL, IN 46032 CARMEL, IN 46074 FOB. . . : DELIVERED Taken By : BM29SLD Sls F Ship Via: OUR TRUCK - PKG Placed By: ANDY Recv Hrs: , 7:30 AM- 4:00 PM Phone#. . : 317-571-2443 Phone: 317-571-2634 Ext: Phone: 317-571-2443 Ext: Terms.' . :' NET 30 DAYS 'Cust PO# : AC071318 QUANTITY QUANTITY PRODUCT CONI SHIPPED PACKAGING HM DESCRIPTION M ORDERED BACK ORDERED CODE DEF IF LEAK OR SPILL OCCURS DURING TRANSPORTATION: CCN3170 EMERGENCY CONTACT: 'CALL CHEMTREC TOLL FREE T' : -800-424-9300 24 HOURS j 7 DAYS RQ UN1017, CHLORINE, 2.3,(5.1),'(8), RQ,MARINE POLLUTANT POISON-INHALATION HAZARD, 'ZONE .B �. ERG #: 124 CHLORINE 3.QQOO 150.0000 LB CYL CHLORINE, LIQUID (BMS ONLY) >A RPK 3.0000 873311. Loc: A2R2A oty: 29.0000 Product ,picked from: Lot: 2 Loc: A2R2A Qty: ;, 3.0000 Freight Class, . . . 200 Weight Per Gallon: 11.87000 Net Weight: 450.000 CYL^ ._____________ ___. ____;...__ -_�._,_ -___-__�.__.__.--____-____---------_-_-__-____._ ��� _� ��_a�. _.-_ __... __.,_____ __..".--__-_______--__----, T°o•Ll 4et Weight: 450 Tota1.,,G',o s 4`JeiGht: i~ This is to certify that the above named materials are properly classified,d ckaged,marked,and labeled,and are in proper condition for transportation according to the applicable regulation the artmen f Trans ation. Z-(/t.iG-2 Loaded By: ............ .". Checked .By: „."........„..,...,,..".,,,,,"., "... Signature of Shipper: " „' ' " „”' R Vehicle: Driver: ......,,„,,,."..,:,.,,.,„,., PURCHASER'S ACCEPTANCE OF THE GOODS COVE D:BY THIS DOCUM SHALL CONSTITUTE ACCEPTANCE BY THE PURCHASER OF ALL TERMS AND CONDI ONS OF SALE STATED ON THE REVERSE SIDE HEREOF.' M�les.•,••••„••"••••••"• Time In/Time Out MOREOVER,PURCHASER,HEREBY ACKNOWLEDGES RECEIPT OFALL,REQUIRED SDS( . Wood Pallets D1Vd Wood Pallets Received by: ,� - `, / Date: ® � Plastic Pallets Dlvd,,,. Plastic Pallets Rtn: CUSTOMER COPY Bili. of Lading/Shipment Receipt Continued from Previous Page Page 2 of 3 BRENNTAG MID-"SOUTH PHONE: 317-898-8632 7/16/18 18:18:28 6 R E N N`1 3111 N POST RD FAX: DEA REG NO. 00660IBNY INDIANAPOLIS, IN 46226_ p` BOL# . .: 2195586-00 Dely Date: 7/17/18 Ship CARMEL WATER, PUNT .4. Sold CARMEL WATER Customer: 4075 .2 Ship To: 6 -Ship Date: 7/17/18 0 Ship To: 10675 N. GRAY ROAD To: 3450 WEST 131ST STREET Attn- Frt Terms: PREPAID Frt CARMEL, IN 46032 CARMEL, IN 46074 FOB. . . : DELIVERED .Taken By : BM29SLD $Is ' Shap Via: OUR TRUCK - PKG Placed By: ANDY Recv Hrs: 8:00 AM- 4:00 PM Phone#. .: 317-571-2443 Phone: 317-71.6-'3917 Ext: Phone: 317-571-2443 Ext: Terms. .: NET 30 DAYS Cus't PO# AC071318 QUANTITY QUANTITY PRODUCT COIN PACKAGING' HM DESCRIPTION SHIPPED M ORDERED BACKORDERED CODE DE IF LEAK OR SPILL OCCURS DURING TRANSPORTATION: CCN3170 EMERGENCY CONTACT: CALL CHEMTREC TOLL FREE AT 1800-424-9300 ° 24 HOURS / 7 DAYS FAQ 9N1017, -CHLORINE, s RQ,MARINE POLLUTANT POISON-INHALATION HAZARD, ZONE B ERG #: 124 ' CHLORINE 4.0000- .150.0000 LB . 'CYL F CHLORINE, LIQUID (BMS ONLY) >A RPK - ` 4.0000 873311 Loc: A2R2A Qty: 29.0000 Product picked from: Lot: 2 Loc: A2R2A Qty: 4.0000 Freight Class. . . . 200 Weight Per Gallon: 11.87000 Net Weight: 600.000_ CYL Total Net Weight: 600 Total-.Gl oss Weigin t: This is to certify that the above named materials are properly classified,describe ed,marked,and labeled,and are in proper condition for transportation according to the applicable regulations of the part t of Tr nsportat' LoadedBy: ,"......,.....".....""......."..,....."."".... Chucked By: .""........ ......"....,.. " Signature of Shipper: T Vehicle: Driver: PURCHASER'S ACCEPTANCE OF THE GOODS COVERED DOCUMENT L CONSTITUTE ACCEPTANCE Miles: ""w"."."�"„ Time In/Time put,",""BY THE PURCHASEROF ALLTERMS AND CONDITION OF 9ANE STATED ON THE REVERSE SIDE HEREOF "" '" "'""""" """""' MOREOVER,PURCHASER,H REBXACKNOWLEDGES, CEIPT OF ALL REQUIRED SDS(S). Wood Pallets Dlyd Wood Pallets Rtn Plastic Pallets Dlvd",,,,,,,V„", Plastic Pallets Rtn; Received by: �t ._� /Fl Date: ( " .--,-�--------- CUSTOMER COPY Bill of Lading/Shipment Receipt - Page 1 of 2 BRENNTAG MID-SOUTH PHONE: 317-893-8632 7/16/18 18:18=49' B R E N N T 3111 N POST RD FAX: DEA REG NO. 006601BNY INDIANAPOLIS, IN 46226 BOL# . : ,2195579-00 . Dely Date: 7/17/18 Ship CARMEL UTILITIES PLT. I Sold CITY OF CARMEL UTILITIES _ Customer: 407542 Ship- To: 11 Ship Date: 7/17/18 0 Ship To: 4915 E 106 ST To: 3450 WEST 131ST STREET Attn- Frt Terms: PREPAID Frt CARMEL., IN 46033 CARMEL, IN 46074 FOB. , , . : . DELIVERED Taken By : BM29SLD SIS I Ship Via: OUR TRUCK - PKG Placed By: ANDY i Recv Hrs,: 7:30 AM- 4:00 PM Phone#. . : 317-571-'2443 Phone: 31i 571-2443 Ext: Phone: 317-571--2443 Ext: 3 Terms.- . .-- NET 30 DAYS Cust PO# : AC071318 QUANTITYa QUANTITY PRODUCT CON SHIPPED PACKAGING HM DESCRIPTION M ORDERED BACKORDERED CODE DE . IF LEAK OR SPILL OCCURS DURING TRANSPORTATION: CCN3170 EMERGENCY CONTACT: CALL CHEMTREC TOLL FREE AT -800-424-9300 � 24• HOURS / 7 DAYS `-- FREIGHT CARRIER: INVOICE TMS VIA EDI OR CARRIER PORTAL. JEFF 317-'571-2639 ANDY 317-750-14.79 --- ----__W-w- _-W,_,-w. _ ------ ------------------------------------ -_,-�._,-_--_---.----------------- _ -_---..----- ----..,_-__ ----- ..-- RQ UN1017, r CHLORINE, - RQ,MARINE POLLUTANT I . POISON-INHALATION HAZARD, ZONE B ERG #: 124 CHLORINE 1.0000 ;2000.0000 LB CYL CHLORINE, LIQUID (BMS ONLY) >A RPK 1.0000 253418 Loc: OSE04 OSE05 Qty: 3.0000 8.0000 Product picked- from: Lot: 2 Loc: OSE04 Qty: � 1.0000 Freight Class- . " . 200 Weight' Per Gallon: 11.87000 Net Weight: 205J"000 CYC -------------- --_.--_.------------------ -_ --------- - -------------------------,-------------------__.__- _____r--- ---------------_-- -_..----__-_ ------ _-- r cn _ Total-i Met Weight. ~2,000 Total Gross Weigit: This is to certify that the above named materials are properly classified,desc ' aged,marked,and labeled,and are in proper condition for transportation according to the applicable regulations of e hent of ranspor 'on. ' Loadp �,�, Checked By: Signature of Shier: � By PURCHASER'S ACCEPTANCEOFTHEGOODS-CdVE B HISDOCUME ALL CONSTITUTE ACCEPTANCE Vehicle. Time I„ 4o'_ C✓ " lin", ,,. .a BY*THE PURCHASER OF ALL TERMS AND CONDITI S OF SALE STATED ON THE REVERSE SIDE HEREOF. Mat les" """"'"'" Time In/Time Out"',_""' ......", MOREOVER,PURCHASERLULUBY ACKNOWLEDGES RECEIPT OF ALL REQUIRED SDS(S Wood Pallets DlvdWood Pallets Rtn:",,,,—,..••,„•""•"•„•„ Received by: f '�r Date: f Plastic Pallets Dlvd � ” ... . Plastic Pallets Rtn: ,......." ...".... r r CUS 1 OMER COPY